P Praxis·MD
● Active Type 1 · Individual

DR. Anita Kanithahalli Shetty, M.D.

Dermatology·Marietta, GA· NPI 1649477035 · Enumerated 2007 · 18 years on NPI
Shetty is 1 of 30 dermatology providers in Marietta and 1 of 483 in Georgia.
NPI age
18 years
Enumerated 2007-06-28
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-01-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
835 Cogburn Ave Nw, Suite 100
Marietta, GA 300601031
📞 7704225557fax 7704225456
Mailing address
5730 Glenridge Dr Ste T100
Atlanta, GA 303285747
📞 4049399220fax 4703122157

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #068558 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) 068558 GEORGIA STATE MEDICAL LICENSE

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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